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James H.48岁,会计师.诊断为下壁心肌梗塞,收入 CCU。他虽有充血性心力衰竭的许多症状和体征,包括颈静脉怒张及收缩压下降(86mmHg.11.5kPa).但是他的肺野是清晰的。入院后患者诉胸部压榨性疼痛.吞下含眼1/150g 硝酸甘油后.他难以站立,收缩压降至9.33kPa.皮肤苍白、冰冷.但肺野依然清晰。还可以诊断什么其他的疾病?该采取什么治疗措施及如何解释这些情况呢?右心室损伤现代统计学表明,14%～40%的心肌梗塞病人不仅左心室受损,而且波及右心室。下壁心肌梗塞的病例中.合并有右心室的损害可高达52%.右心
James H, aged 48, accountant, diagnosed with inferior myocardial infarction, earns CCU. Although he has many symptoms and signs of congestive heart failure, including jugular venous distention and decreased systolic blood pressure (86mmHg.11.5kPa), his lung field is clear. After admission, the patient complained of chest pain, swallowing the eye with 1 / 150g of nitroglycerin, he was hard to stand and systolic pressure dropped to 9.33kPa. The skin was pale and cold, but the lung field was still clear. What Other Diseases Can Be Diagnosed? What Treatments Should I Take and How Will These Be Interpreted? Modern statistics for right ventricular injury indicate that 14% to 40% of patients with myocardial infarction have not only impaired left ventricular function but also the right ventricle. Lower wall myocardial infarction cases. Right ventricular damage associated with up to 52%. Right heart